5010 - Ready or Not, Here It Comes

Recently, the Centers for Medicare & Medicaid Services announced they will not take enforcement actions against HIPAA covered organizations that are not 5010-compliant until March 31, 2012. This may sound like you have an extended deadline to become 5010-compliant. But, it is simply advising that there will be a 90-day grace period before enforcement actions will be taken.

The reality is that 5010 is already here. To avoid a traffic jam and potential melt down, the industry began the conversion ahead of schedule to work out the kinks before the official transition date. This means providers may already be experiencing an increase in claim rejections. Monitor your rejection reports for these top five potential road blocks that could hold up your reimbursements.